Individual provider · Type 1 NPI
Ty Wakefield, LCSW
Clinical Social Worker · Aurora, IL
Practice location
75 Executive Dr Ste 315D
Aurora, IL 60504-8142
Mailing address
1605 2nd Ave
Rock Island, IL 61201-8601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Health Educator | 174H00000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149.019991 (IL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
2 other providers at this address
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About NPI 1386005338
Ty Wakefield, LCSW's National Provider Identifier is 1386005338, issued on Mar 17, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Aurora, IL. The record was last updated on Apr 15, 2024.